Mackie, Michael A

Mackie, Michael A is an sole proprietor health care provider with primary practice located at 2003 Cortez Rd W , Bradenton FL 34207-1241. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mackie, Michael A can be contacted via phone (941) 756-2020.

Contact Information

Primary practice address
2003 Cortez Rd W Bradenton FL 34207-1241
Phone: (941) 756-2020
Fax: (941) 756-4486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC3022 Florida

Profile Details

NPI number 1972595643
LBN Legal business name Mackie, Michael A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2005
Last updated Nov 30th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972595643 NPPES
Florida Other 20737Z INDIVIDUAL MEDICARE ID
Florida MEDICAID 620192000 INDIVIDUAL MEDICARE ID

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